CENTER FOR COMPREHENSIVE SERVICES, INC (NPI# 1912487976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912487976 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COMPREHENSIVE SERVICES, INC |
| Other Organization Name | NEURORESTORATIVE, ILLINOIS |
| Practice Address |
306 W Mill St Carbondale IL 62901-2727 |
| Practice Telephone | 6183194883 |
| Mailing Telephone | 6183194883 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | SERGIO P CRUZ (CFO) |
| Authorized Official Telephone | 7817089444 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR COMPREHENSIVE SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 4000021 | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Neurorestorative, Illinois | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795370 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 2785 S Rainbow Blvd, Las Vegas, NV 89146-4008 | 2020-06-18 |
| 1811468408 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 3135 S Monte Cristo Way, Las Vegas, NV 89117-3228 | 2018-12-08 |
| 1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
| 1134662331 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 7240 W Oakey Blvd, Las Vegas, NV 89117-2145 | 2016-11-21 |
| 1548631914 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 103 Windsor Path, Georgetown, KY 40324-9610 | 2015-10-12 |
| 1194195586 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 2150 Carter Ave, Ashland, KY 41101-7734 | 2015-09-29 |
| 1760815096 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 707 W Helen Rd, Palatine, IL 60067-6056 | 2013-08-09 |
| 1417278870 | Center for Comprehensive Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 Whiston Ct, Bowie, MD 20715-1258 | 2010-06-18 |
| 1578887493 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 632 Battersea Dr, St Augustine, FL 32095-8432 | 2010-03-22 |
| 1093945511 | Center for Comprehensive Services, Inc | Nursing Facility/Intermediate Care Facility | 148 Stuart Nelson Park Rd, Paducah, KY 42001-9678 | 2009-07-17 |
| Street Address |
306 W MILL ST |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598810061 | Center for Comprehensive Services, Inc. | Rehabilitation Hospital | 306 W Mill St, Carbondale, IL 62901-2727 | 2007-01-24 |
| 1386018125 | Jeremy Rosene | Counselor | 306 W Mill St, Carbondale, IL 62901-2727 | 2015-11-17 |
| 1659750149 | Amanda Kuhnert | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2015-05-29 |
| 1295126761 | Dina Kelly | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2015-02-05 |
| 1073904546 | Amanda Yvonne Beaver | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2015-02-05 |
| 1790029726 | Roni Lee Robbins | Counselor | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-15 |
| 1306180377 | Marta Elisa Ketter | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-15 |
| 1154665131 | Lindsay M Defauw | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-15 |
| 1982948964 | Johnna Christeen Devin | Speech-Language Pathologist | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-15 |
| 1609110741 | Lindsay R Mueller | Physical Therapy Assistant | 306 W Mill St, Carbondale, IL 62901-2727 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
| 1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1881058329 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E Queenwood Rd, Morton, IL 61550-9726 | 2016-04-11 |
| 1942621768 | Arrowhead Ranch Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12228 104th St, Coal Valley, IL 61240-9712 | 2013-12-20 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.